| Wha Primary Care Center | |
|
1 Trillium Way Ste 200 Corbin KY 40701 | |
| (606) 528-5527 | |
| (606) 526-9687 |
| Full Name | Wha Primary Care Center |
|---|---|
| Speciality | Family Medicine |
| Location | 1 Trillium Way, Corbin, Kentucky |
| Authorized Official Name and Position | Yvon Parent (PRESIDENT OWNER) |
| Authorized Official Contact | 6065285527 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wha Primary Care Center 1 Trillium Way Ste 200 Corbin KY 40701 Ph: (606) 528-5527 | Wha Primary Care Center 1 Trillium Way Ste 200 Corbin KY 40701 Ph: (606) 528-5527 |
| NPI Number | 1386748739 |
|---|---|
| Provider Enumeration Date | 09/07/2006 |
| Last Update Date | 12/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386748739 | NPI | - | NPPES |
| 31001100 | Medicaid | KY | |
| DC1972 | Other | KY | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207V00000X | Obstetrics & Gynecology | (* (Not Available)) | Secondary |
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